Individual provider Active NPI

Jessica L Rubel, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1649897810
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238
Phone
(602) 971-0268
Fax
(602) 971-1556
NPI assigned
Jul 2, 2020
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238

Mailing address

1038 E Denton LN
Phoenix, AZ 85014-2675

Other practice location 1

14506 W Granite Valley Dr Ste 220
Sun City West, AZ 85375-6013
Phone (623) 584-1325

Other practice location 2

13843 W Meeker Blvd Ste 101
Sun City West, AZ 85375-5285
Phone (602) 971-0268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220701000910 AZ Practitioner - Physician Assistant 1557741964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Dermatology and Mohs Center PCGroup PAC ID 7113144510, 10 clinicians

Practice addresses (Care Compare)

4045 E Bell Rd
Suite 125
Phoenix, AZ 85032-2238
Phone 6029710268205

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8780AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Meyers Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: griffinj@alliancederm.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1649897810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 E DENTON LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322238",
            "telephone_number": "602-971-0268",
            "fax_number": "602-971-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14506 W Granite Valley Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853756013",
            "country_code": "US",
            "telephone_number": "623-584-1325",
            "fax_number": "602-971-1556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13843 W Meeker Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755285",
            "country_code": "US",
            "telephone_number": "602-971-0268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBEL",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.